What is the Z track technique?

What is the Z track technique?

The Z-track method is a type of IM injection technique used to prevent tracking (leakage) of the medication into the subcutaneous tissue (underneath the skin). During the procedure, skin and tissue are pulled and held firmly while a long needle is inserted into the muscle.

What medications can be given intramuscularly?

The most common medications given by IM route include:

• Antibiotics- penicillin G benzathine penicillin, streptomycin.
• Biologicals- immunoglobins, vaccines, and toxoids.
• Hormonal agents- testosterone, medroxyprogesterone[2]

What volume of medication can be administered via the intramuscular route?

For a well-developed adult, no more than 5 ml of medication should be administered in a single IM injection because the muscle tissue does not absorb it well. For “deep” IM injections, the recommended volume ranges from 2 to 5 ml.

Where is the best place for an IM injection?

Intramuscular injections are often given in the following areas:

• Deltoid muscle of the arm. The deltoid muscle is the site most typically used for vaccines.
• Vastus lateralis muscle of the thigh.
• Ventrogluteal muscle of the hip.
• Dorsogluteal muscles of the buttocks.

Where do you give an IM injection?

Your thumb should point to the person’s groin and your fingers point to the person’s head. Pull your first (index) finger away from the other fingers, forming a V. You may feel the edge of a bone at the tips of your first finger. Put the injection in the middle of the V between your first and middle finger.

How do you inject an IM injection?

Hold it firmly about an inch away (2.54 cm) from the muscle. In the other hand, hold the needle at a 90-degree angle and insert it quickly and deeply enough to penetrate your muscle. Inject the medication. If there is no blood in the syringe, push on the plunger to inject the medication slowly into the muscle.

Which antibiotics can be given IM?

No IM antibiotics are approved by the U.S. Food and Drug Administration or specifically recommended for acute sinusitis,4,5 and most community-acquired methicillin-resistant Staphylococcus aureus skin infections remain susceptible to oral trimethoprim/sulfamethoxazole (Bactrim, Septra) and tetracycline.

What are the four IM injection sites?

Intramuscular injection sites

• Deltoid muscle of the arm. The deltoid muscle is the site most typically used for vaccines.
• Vastus lateralis muscle of the thigh.
• Ventrogluteal muscle of the hip.
• Dorsogluteal muscles of the buttocks.

What is no longer a recommended IM injection site?

Additionally, the rectus femoris (the middle third of the rectus femoris) is no longer a recommended site because it may cause discomfort and pain. A previous study reported that one disadvantage of this site is that nerves and numerous blood vessels run very close to it.

What happens if you give a subcutaneous injection intramuscularly?

Subcutaneous injections can lead to localised cellulitis, granuloma formation and abscess. The COVID-19 vaccine has shown to have high efficacy if given correctly intramuscularly. Subcutaneous injection can happen inadvertently (figure 1), affecting efficacy of vaccination and potentiate local adverse events.